In consideration of the University’s acceptance of my application to participate in the 2003 Guitar, Bass Guitar, Drumset and Keyboard Junior Camp, I hereby release the University of Miami, its officers, and agents from any and all claims and causes of action which might be brought by me or my parents or dependents for loss of property, personal injury or death sustained by me arising out of any travel or activity conducted by or under the control of the University of Miami. I agree to abide by the camp regulations and cooperate with camp authorities in furthering the ideals upon which the camp was founded. Because of the nature of the program, I agree to remain for the entire week session unless prevented by reasons beyond my control. I understand that the University of Miami and Guitar, Bass Guitar, Drumset and Keyboard Junior Camp authorities reserved the right to expel students/campers for violation of University and Camp rules and that under such circumstances no refunds will be made. I understand that the University of Miami and/or Guitar, Bass Guitar Drumset, and Keyboard Junior Camp will not be responsible for lost, stolen, or damaged personal property of participants. In addition, I understand that participants are responsible for abiding by University fire and safety regulations. I understand that the $25 deposit is non-refundable and the basic camp fee is also non-refundable after registration on July 28, 2003. I understand that all fees are to be paid in full by registration on July 28, 2003 or a $20 late fee will be assessed. I give Consent for the applicant to participate in radio, television, audio and video tape recordings and transcribed programs without compensation and for photographs taken at Camp to be used in Camp-approved publications. I also give consent for the applicant to participate in off-campus field trips.

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Camper Signature Date
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Parent or Guardian Signature Date